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1295769859
VICTORIA ANNE WALLACE
FAIRBANKS, AK
NPI
1295769859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AK 713)
Enumeration Date
2006-07-10
Last Update Date
2023-03-07
Business Address
MRS. VICTORIA ANNE WALLACE ANP
1931 EAGAN AVE FAIRBANKS CORRECTIONAL CENTER
FAIRBANKS, AK 99701-5703
Phone number: 907-458-6700
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Mailing Address
MRS. VICTORIA ANNE WALLACE ANP
1931 EAGAN AVE FAIRBANKS CORRECTIONAL CENTER
FAIRBANKS, AK 99701-5703
Phone number: 907-458-6700
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